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General NPI Number Information
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NPI Number | 1124742580
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Entity Type | Organization
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Legal Business Name | TEXAS HEALTH AND THERAPY CENTERS
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Dates
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Enumeration Date | 09/29/2022
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Last Update Date | 08/28/2024
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Provider Practice Location Address
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Address Line | 5521 BELLAIRE DR S STE 110
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City | FORT WORTH
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State | TX
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Zip | 76109-5855
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Country | US
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Telephone | 817-926-9642
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Fax | 817-926-1865
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Provider Business Mailing Address
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Address Line | 5521 BELLAIRE DR S STE 114
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City | FORT WORTH
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State | TX
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Zip | 76109-5855
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Country | US
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Telephone | 817-926-9642
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Fax | 817-926-1865
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Authorized Official
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Title or Position | OWNER
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Name | STACY HARRIS
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Credential |
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Telephone | 817-926-9642
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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